International Baccalaureate Application Form
Personal Information:
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Last Name:________________ First Name:____________________ First
Nationality:__________________ Second
Nationality:_______________ Date
of Birth:______________
(mm/dd/yyyy) Home phone number:________________ E-Mail:__________________ Father’s work Phone
number:________________ Mother’s work phone
number:________________ Native Language or fluent language
:______________ Second language:__________________ |
Choice of Program(Choose
one):
q
IB Diploma
q
IB Certificate
University and Career Information:
Many students are undecided at
this stage. However, if this information is available, please provide it in
order to assist the IB admissions committee as they plan for an academic
program that best suits the student’s needs.
In some countries it may be mandatory for university candidates to
complete the IB Diploma. It is the
family’s responsibility to communicate this information to the high school
administration by the end of the tenth grade year.
Where do you plan to finish your
University studies? ________________________
What do you plan to major in (Field
of study)?________________________
Academic performance: This information can be obtained from the
school’s student records office and the high school counselor.
9th grade (1st
semester GPA):________ 9th
grade (2nd semester GPA):________
10th grade (1st
semester GPA):________
PLAN SAT scores: ________ _________
Academic Interests/hobbies:
What are your favorite subjects or
areas of strength?(Math, Science, Fine Arts,
Humanities, etc.)
_____________________________________
_____________________________________
_____________________________________
What are some of your hobbies or
leisure time interests?
____________________________________________________________________
_____________________________________________________________________
Why are you registering for the IB
Diploma program(If applicable)?
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Essay :( Required for IB Diploma Applicants only)
Write a 500 word essay about two
characters from two different books that you have read. Compare the two characters and explain which
one is your favorite and why?
(Attach the type written, double
spaced essay to your application)
The IB diploma program is a
demanding course of study and will require students to have the following
traits in order to be successful:
q
excited and enthusiastic
about learning
q
self-motivated, mature, and
self-disciplined
q
goal oriented
q
fluent in written and oral
communication
q
strong study and
organizational skills
q
an efficient time manager
q
intellectually inquisitive
and creative
q
an independent, critical
thinker
q
performing well academically
q
proficient in math
q
involved in
school/community activities
The IB
committee reserves the right to drop a student’s IB diploma status in the
following cases:
1)
Poor
academic performance in two or more IB subjects
2)
Failure
to meet IB deadlines
3)
Plagiarism
4)
Poor
performance in the probationary period (applicable to provisional IB Diploma
candidates)
5)
Failure
to meet IB requirements
The student and the family commit
to abiding by all regulations and accept responsibility if the student fails to
meet the expectations of the IB Diploma program.
Parent’s Signature:___________________ Student’s
Signature:_____________
Date:________________